How much rates vary
Facilitymedian $269 · 10th to 90th $71 to $501Professionalmedian $36 · 10th to 90th $6 to $501
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $20.42 Median $31.62 Typical High $38.90 | Facility | None | $20.42 | $31.62 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $199.53 | Facility | TC · Technical part | $19.95 | $33.88 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $30.20 | $38.02 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $18.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $19.50 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $32.36 | $38.02 | $38.02 |
BCBS Texas Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $537.03 | Facility | None | $128.82 | $331.13 | $537.03 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $18.62 Median $38.90 Typical High $109.65 | Professional | None (both parts) | $18.62 | $38.90 | $109.65 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $20.89 | $20.89 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $162.18 Typical High $467.74 | Facility | None | $61.66 | $162.18 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $41.69 Typical High $95.50 | Professional | None (both parts) | $26.30 | $41.69 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $12.88 | $19.50 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.88 Typical High $56.23 | Professional | TC · Technical part | $13.80 | $21.88 | $56.23 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
Moda Health Setting Facility Modifier None Typical Low $30.20 Median $50.12 Typical High $245.47 | Facility | None | $30.20 | $50.12 | $245.47 |
Moda Health Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $31.62 Typical High $60.26 | Facility | TC · Technical part | $20.42 | $31.62 | $60.26 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.02 Typical High $64.57 | Professional | None (both parts) | $30.20 | $38.02 | $64.57 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $18.20 | $30.20 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $19.50 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.90 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $4.90 | $27.54 | $37.15 |
Providence Setting Facility Modifier None Typical Low $44.67 Median $102.33 Typical High $467.74 | Facility | None | $44.67 | $102.33 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $93.33 | Professional | None (both parts) | $26.30 | $40.74 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $36.31 | Professional | 26 · Professional part | $12.88 | $19.50 | $36.31 |
Providence Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.38 Typical High $46.77 | Professional | TC · Technical part | $13.80 | $21.38 | $46.77 |
United Setting Facility Modifier None Typical Low $158.49 Median $165.96 Typical High $218.78 | Facility | None | $158.49 | $165.96 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $60.26 Typical High $91.20 | Professional | None (both parts) | $38.90 | $60.26 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $38.02 | Professional | 26 · Professional part | $18.62 | $25.70 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $33.11 | $50.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
11 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $11.48 Median $19.05 Typical High $100.00 | Facility | 52 · Reduced service | $11.48 | $19.05 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $7.76 Typical High $39.81 | Facility | 53 · Discontinued | $4.57 | $7.76 | $39.81 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $17.78 Median $27.54 Typical High $93.33 | Facility | FX · Film X-ray | $17.78 | $27.54 | $93.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $19.05 Typical High $21.88 | Professional | 52 · Reduced service | $15.14 | $19.05 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $6.03 | $7.59 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $30.20 Typical High $30.90 | Professional | FX · Film X-ray | $23.99 | $30.20 | $30.90 |
Moda Health Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $18.20 Typical High $48.98 | Facility | 52 · Reduced service | $10.96 | $18.20 | $48.98 |
Moda Health Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $7.24 Typical High $19.50 | Facility | 53 · Discontinued | $4.37 | $7.24 | $19.50 |
Moda Health Setting Facility Modifier FX · Film X-ray Typical Low $16.22 Median $25.12 Typical High $97.72 | Facility | FX · Film X-ray | $16.22 | $25.12 | $97.72 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $15.14 | $19.05 | $19.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $7.59 | $7.76 |
Where Texas sits
The same service costs 4.5 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 50th of 51
$38.02
AK $141UT $31.62
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.